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Names of ALL Fishing Rodeo Entrants Fee Category
Number of tickets for additional guests attending Saturday Night Fish Fry ONLY:
($29 each)
HATS ($20 each), T-SHIRTS ($20) and FISHING SHIRTS ($55) must be pre-ordered. Pre-Orders must be placed before June 27, 2014.
I request:
Hats
I request additional:
T-Shirts
Please indicate T-Shirt size(s):

Even if not ordering additional T-Shirts, we need the size(s) for the T-Shirt included with your registration fee.

Small
Medium
Large
Extra-Large

I request:
Fishing-Shirts
Please indicate Fishing Shirt size(s):

Small
Medium
Large
Extra-Large

Voluntary contribution to the LDA Foundation to benefit the Mission of Mercy.
$
NO REFUNDS after pre-registration deadline of July 3, 2014.
Add $25 per person LATE FEE after
July 3, 2014. No exceptions.
Non-refundable credit card convenience fee ($15)

Total amount of fees due to the LDA =
(Please enter your total)

I will pay by: Check or Credit Card

If paying by check, please mail to:
LDA Foundation Fishing Rodeo
P.O. Box 261173
Baton Rouge, LA 70826-1173


If paying by credit card,
please enter the information below:

Visa/Master Card Number:
Expiration Date:
Name as it appears on card:
3 digit security code on back of card:

Questions or Comments: